Individual
CHALANDRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3804 WINDY MEADOW DR, TAVARES, FL 32778-6102
(352) 448-5415
Mailing address
PO BOX 1924, TAVARES, FL 32778-1924
(352) 448-5415
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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